Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Radiological Characteristics of Peritumoral Edema in Meningiomas

  • Lee, Ki-Yeul (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center) ;
  • Joo, Won-Il (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center) ;
  • Rha, Hyung-Kyun (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center) ;
  • Park, Hae-Kwan (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center) ;
  • Lee, Kyung-Jin (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center) ;
  • Choi, Chang-Rak (Department of Neurosurgery, The Catholic University of Korea, Catholic Neuroscience Center)
  • Published : 2005.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study is to evaluate the radiological charactersitics related to the formation of peritumoral edema in meningiomas. Methods: Fifty patients with meningioma were examined by magnetic resonance images and cerebral angiography. The predictive factors associated peritumoral edema, such as, tumor size, peritumoral rim (cerebrospinal fluid cleft), shape of tumor margin, signal intensity of tumor in T2WI, and pial blood supply were evaluated. Results: Tumor size, peritumoral rim and pial blood supply correlated with peritumoral edema on univariate analyses. But in multivariate analyses, pial blood supply was statistically significant as a factor for peritumoral edema in meningioma. Conclusion: In our results, pial blood supply is significant contributing factor for peritumoral edema in meningioma.

Keywords

References

  1. Bitzer M, Topka H, Morgalla M, Friese S, Wockel L, Voigt K : Tumor-related venous obstruction and development of peritumoral brain edema in meningiomas. Neurosurgery 42 : 730-737, 1998 https://doi.org/10.1097/00006123-199804000-00026
  2. Bitzer M, Wockel L, Luft AR, Wakhloo AK, Petersen D, Opitz H, et al : The importance of pial blood supply to the development of peritumoral brain edema in meningiomas. J Neurosurg 87 : 368-373, 1997 https://doi.org/10.3171/jns.1997.87.3.0368
  3. Bradac GB, Ferszt R, Bender A, Schorner W : Peritumoral edema in meningiomas : A radiological and histological study. Neuroradiology 28 : 304-312, 1986 https://doi.org/10.1007/BF00333435
  4. Challa VR, Moody DM, Marshall RB, Kelly DL Jr : The vascular component in meningiomas associated with severe cerebral edema. Neurosurgery 7 : 363-368, 1980 https://doi.org/10.1227/00006123-198010000-00009
  5. Gilbert JJ, Paulseth JE, Coates RK, Malott D : Cerebral edema associated with meningiomas. Neurosurgery 12 : 599-605, 1983 https://doi.org/10.1227/00006123-198306000-00001
  6. Hossmann KA, Bloink M, Wilmes F, Wechsler W : Experimental peritumoral edema of the cat brain. Adv Neurol 28 : 323-340, 1980
  7. Hossmann KA, Wechsler W, Wilmes F : Experimental peritumorous edema : Morphological and pathophysiological observations. Acta Neuropathol(Berl) 45 : 195-203, 1979 https://doi.org/10.1007/BF00702671
  8. Ide M, Jimbo M, Kubo O, Yamamoto M, Takeyama E, Imanaga H : Peritumoral brain edema and cortical damage by meningioma. Acta Neurochir Suppl 60 : 369-372, 1994
  9. Inamura T, Nishio S, Takeshita I, Fujiwara S, Fukui M : Peritumoral brain edema in meningiomas-influence of vascular supply on its development. Neurosurgery 31 : 179-185, 1992 https://doi.org/10.1227/00006123-199208000-00002
  10. Kalkanis SN, Carroll RS, Zhang J, Zamani AA, Black PM : Correlation of vascular endothelial growth factor messenger RNA expression with peritumoral vasogenic cerebral edema in meningiomas. J Neurosurg 85 : 1095-1101, 1996 https://doi.org/10.3171/jns.1996.85.6.1095
  11. Kim IS, Kim HD, Kim KU, Shin HC, Choi HJ, Kim KH : Factors influencing the development of peritumoral brain edema in menin- giomas. J Korean Neurosurg Soc 26 : 940-945, 1997
  12. Lobato RD, Alday R, Gomez PA, Rivas JJ, Dominguez J, Cabrera A, et al : Brain oedema in patients with intracranial meningioma. Correlation between clinical, radiological, and histological factors and the presence and intensity of oedema. Acta Neurochir (Wien) 138 : 485-493, 1996 https://doi.org/10.1007/BF01411166
  13. Maiuri F, Gangemi M, Cirillo S, Delehaye L, Gallicchio B, Carandente M, et al : Cerebral edema associated with meningiomas. Surg Neurol 27 : 64-68, 1987 https://doi.org/10.1016/0090-3019(87)90109-1
  14. Nakano T, Asano K, Miura H, Itoh S, Suzuki S : Meningiomas with brain edema : radiological Characteristics on MRI and review of the literature. Clin Imaging 26 : 243-249, 2002 https://doi.org/10.1016/S0899-7071(02)00433-3
  15. Salpietro FM, Alafaci C, Lucerna S, Lacopino DG, Todaro C, Tomasello F : Peritumoral edema in meningiomas : Microsurgical observations of different brain tumor interfaces related to computed tomography. Neurosurgery 35 : 638-641, 1994 https://doi.org/10.1227/00006123-199410000-00009
  16. Smith HP, Challa VR, Moody DM, Kelly DL Jr : Biological features of meningiomas that determine the production of cerebral edema. Neurosurgery 8 : 428-433, 1981 https://doi.org/10.1227/00006123-198104000-00004
  17. Vries J, Wakhloo AK : Cerebral oedema associated with WHO-I, WHO-II, WHO-III meningiomas : correlation of clinical, computed tomography, operative and histological findings. Acta Neurochir(Wien) 125 : 34-40, 1993 https://doi.org/10.1007/BF01401825
  18. Yamaguchi N, Kawase T, Sagoh M, Ohira T, Shiga H, Toya S : Prediction of consistency of meningiomas with preoperative magnetic resonance imaging. Surg Neurol 48 : 579-583, 1997 https://doi.org/10.1016/S0090-3019(96)00439-9